| Regimental number | 3173 |
| Place of birth | Ascot Vale Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | River Terrace, Ascot Vale West, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Andrew Simonsen, River Terrace, Ascot Vale West, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Infantry Brigade 6, Field Ambulance 6, Reinforcement 1 |
| AWM Embarkation Roll number | 26/49/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
